一名成年男性双侧股四头肌肌腱同时断裂
Simultaneous Bilateral Quadriceps Tendon Rupture in an Adult Man.
作者信息
Doehring Marla C, Propst Steven L
机构信息
Indiana University, Department of Emergency Medicine, Indianapolis, Indiana.
University of Missouri, Department of Emergency Medicine, Springfield, Missouri.
出版信息
Clin Pract Cases Emerg Med. 2022 May;6(2):192-193. doi: 10.5811/cpcem.2022.3.55675.
CASE PRESENTATION
A previously healthy 45-year-old man presented to the emergency department with bilateral knee pain and inability to extend his knees after a slip and fall on ice. The clinical diagnosis of bilateral quadriceps tendon rupture was confirmed by computed tomography (CT) of bilateral knees. The patient underwent successful operative repair the following day.
DISCUSSION
Bilateral quadriceps tendon rupture is rare and can be difficult to diagnose due to the impossibility of comparing the affected to the unaffected limb. Plain radiographs are usually not helpful, but ultrasound, CT, and magnetic resonance imaging may be used to confirm the clinical diagnosis.
病例介绍
一名45岁既往健康的男性因在冰上滑倒后双侧膝关节疼痛且无法伸直膝关节而就诊于急诊科。双侧膝关节计算机断层扫描（CT）证实了双侧股四头肌肌腱断裂的临床诊断。患者于次日接受了成功的手术修复。
讨论
双侧股四头肌肌腱断裂很少见，由于无法将患侧与未患侧肢体进行比较，因此可能难以诊断。普通X线片通常无帮助，但超声、CT和磁共振成像可用于确诊临床诊断。
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